Organization
TOTAL HEALTH AND FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JOANN WIRTZ MS, RD (REGISTERED DIETITIAN)
(801) 572-8050
Entity
Organization
Contact information
Practice address
767 E 12300 S STE B, DRAPER, UT 84020-9587
(801) 572-8050
Mailing address
767 E 12300 S STE B, DRAPER, UT 84020-9587
(801) 572-8050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86015229
UT
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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